Patients' experiences of cannulation of arteriovenous access for haemodialysis: A qualitative systematic review.
Patients' experiences of cannulation of arteriovenous access for haemodialysis: A qualitative systematic review.
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DOI：
10.1177/11297298211067630
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发表时间：
2023-09
影响因子：
1.9
通讯作者：
Buchanan, Heather
中科院分区：
文献类型：
--
作者：
Fielding, Catherine;Bramley, Louise;Stalker, Carol;Brand, Sarah;Toft, Suzanne;Buchanan, Heather
插管是动静脉血液透析的重要组成部分。患者进行血液透析插管的经历存在问题，但人们对此知之甚少。本综述旨在综合定性研究中与患者进行血液透析插管经历相关的发现，从而更全面地描述这一现象。资格标准定义了纳入接受血液透析的终末期肾病患者群体的研究。感兴趣的现象是与患者进行血液透析插管的经历相关的发现，背景是中心血液透析和家庭血液透析。 MedLine、CINAHL、EMBASE、EMCARE、BNI、PsycInfo 和 PubMed 的上次检索时间是在 20/05/2019 至 23/05/2019 之间。使用乔安娜·布里格斯定性研究批判性评估清单对研究质量进行评估。元聚合用于综合研究结果，并使用 CERQual 来评估累积研究结果的强度。该综述包括 26 项研究。纳入研究的主题涵盖插管、疼痛、血管通路经验、血液透析经验和研究优先顺序设定练习。从这些研究中，我们总结出三个主题：（1）血液透析插管是一种令人不快、异常且独特的过程，与疼痛、异常外观、脆弱性和依赖性相关。 (2)血液透析插管的必要性强调了手术过程的不愉快。成功对于患者来说具有多重意义，患者担心进针能否成功。 (3) 患者通过学习耐受插管并控制手术过程，度过了不愉快的、必要的和重复的插管。安全感可以帮助他们更好地忍受插管，而插管器可以唤起安全感。然而，由于插管的不愉快，一些患者仍然避免插管。插管是一种普遍存在的手术，会影响患者的血液透析体验。这篇综述进一步阐明了患者进行血液透析插管的经历，指出了如何改进插管。普洛斯彼罗 (CRD42019134583)。
Cannulation is an essential part of haemodialysis with arteriovenous access. Patients’ experiences of cannulation for haemodialysis are problematic but poorly understood. This review aims to synthesise findings related to patients’ experiences of cannulation for haemodialysis from qualitative studies, providing a fuller description of this phenomenon. Eligibility criteria defined the inclusion of studies with a population of patients with end-stage kidney disease on haemodialysis. The phenomena of interest was findings related to patients’ experiences of cannulation for haemodialysis and the context was both in-centre and home haemodialysis. MedLine, CINAHL, EMBASE, EMCARE, BNI, PsycInfo and PubMed were last searched between 20/05/2019 and 23/05/2019. The quality of studies was assessed using the using Joanna Briggs Critical Appraisal Checklist for Qualitative Research. Meta-aggregation was used to synthesise findings and CERQual to assess the strength of accumulated findings. This review included 26 studies. The subject of included studies covered cannulation, pain, experiences of vascular access, experiences of haemodialysis and a research priority setting exercise. From these studies, three themes were meta-aggregated: (1) Cannulation for haemodialysis is an unpleasant, abnormal and unique procedure associated with pain, abnormal appearance, vulnerability and dependency. (2) The necessity of cannulation for haemodialysis emphasises the unpleasantness of the procedure. Success had multiple meanings for patients and patients worry about whether the needle insertion will be successful. (3) Patients survive unpleasant, necessary and repetitive cannulation by learning to tolerate cannulation and exerting control over the procedure. Feeling safe can help them tolerate cannulation better and the cannulator can invoke feeling safe. However, some patients still avoid cannulation, due to its unpleasantness. Cannulation is a pervasive procedure that impacts on patients’ experiences of haemodialysis. This review illuminates further patients’ experiences of cannulation for haemodialysis, indicating how improvements can be made to cannulation. PROSPERO (CRD42019134583).
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影响因子：
15.8
作者：
Moher D;Liberati A;Tetzlaff J;Altman DG;PRISMA Group
通讯作者：
PRISMA Group
影响因子：
7.9
作者：
Moore, Currie;Majeed-Ariss, Rabiya;Wearden, Alison
通讯作者：
Wearden, Alison
影响因子：
1.9
作者：
Mulder, Margo;Op't Hoog, Jeannie;De Vries, Jolanda
通讯作者：
De Vries, Jolanda
影响因子：
2.3
作者：
Coventry, Linda L.;Hosking, Jon M.;Rickard, Claire M.
通讯作者：
Rickard, Claire M.
影响因子：
1.9
作者：
Herlin, Caroline;Wann-Hansson, Christine
通讯作者：
Wann-Hansson, Christine